Yes, the diagnostics bit can be a bit of a mess. You sort of have to separate it into two things: what can actually be going on, and what different doctors prefer to label it.
As for whether the cluster of signs and symptoms that is termed "POTS" is mutually exclusive of the physiological process that is termed "neurocardiogenic syncope" or "vasovagal syncope," the short answer is NO. You can definitely have both going on in the same patient.
Besides Clonazepan, Solof, Lorazepan, Divalproex, Citalopran, Donepezil,Divalproex, Enalapril, Carb/Levo tab she started taking Ziprasidone four weeks ago.Please tell me if she should stop taking some of those medications.
However, if the metoprolol is absolutely necessary for the control of your syncope and there is no other medicine that will suffice you and your doctor may want to look to ways to reduce its adverse effects on your lungs. Two such would be: 1) a reduction in metoprolol dose, and 2) the addition of non cardio-stimulatory asthma medicines to your regimen to counter-act the seeming impact of the metoprolol on your lungs.
The various causes of syncope are central nervous system ischemia, vasovagal syncope may occur during urination, coughing etc, postural, cardiac syncope, neurological syncope, hypoglycemia, deglutition syncope associated with solids swallowing, cardiac includes cardiac arrhythmias, obstructive cardiac lesions, structural cardiopulmonary disease, sick sinus syndrome etc.
I have been dealing with syncope, migraines, and numbness in the left side of my body for a year and a half now, I get sudden sharp pains in my fingers and bottom of my foot and toes. I get spikes and drops in my blood pressure and will have anywhere from 1-20 syncope episodes a day. I am frequently dizzy and sometimes lose my vision for a few minutes a day as well as my left side mobility. Literaly my left side gets stiff and weak.
When I feel this way, walking up stairs gives me a forceful heartbeat, shortness of breath, and near syncope. I dont care what anyone says, but anxiety does not cause exertional near syncope, and I will never believe that.. But, my Thalliuam stress test, cardiac CTA, Echocardiogram, CBC, CMP, Liver, Thyroid, BNP all check out normal. Actually, the Thallium test showed anterior/LAD hypokinesis but CTA was normal.
She is not alcoholically person and never drink in her live. She has heart disease and take atorvastatin for 10 years and also donepezil and ladiomil for 4 years. Since her doctor discover problem with GOT and GPT she stopped taking atorvastatin (3mounts before) because they were suspicious that atorvastatin was reason for this problem but again GOP and GPT increase. Next step was cancer marker (CA19-9 = 34.4, AST = 5.47, CEA=3.22) and virus markers (HBsAg Es = 0.13 negative, Anti-HCV = 0.
In the last couple of monthe she has suffered from heart palpitations and a tightening of the throat. Once again we saw a specialist and this time she was diagnosed with an ectopic heartbeat.
However when we have gone to make a claim on our medical insurance policy they are refusing to settle as they claim the two illnesses are related and therefore this is a pre-exisiting condition.
This sounds like dysautonomia (autonomic dysfunction). Dysautonomia is a failure of the autonomic nervous system to regulate certain body functions, such as heart rate, blood pressure, temperature, respiration, digestion.
Types of dysautonomia include Postural Orthostatic Tachycardia Syndrome (POTS), Inappropriate Sinus Tachycardia (IST), Vasovagal syncope, Neurocardiogenic syncope (NCS), Neurally Mediated Hypotension (NMH), mitral valve prolapse and Shy Drager Syndrome.
Hi There,
I was recently diagnoxed with NCS (Vasovagal Syncope) too and am very interested in what you find out. I have just started to try to figure out how I ended up with it. Till now, I've just focused on finding out what it is and trying to find a treatment. My Cardiologist told me Friday that it wasn't something he came across alot which I found surprising. Since I found so much about it, I didn't think it was rare, but I guess ALOT of people don't have it.
From the sound of it, though, her Orthostatic Intolerance and Syncope (lightheadedness, low blood pressure, and passing out when she stands up) are medication-induced so the first thing to do is to talk to her doctors about these medications and the side-effects they're causing and see if there are any other options.
I have syncope also. I have all the slow, fast, skipping, flutters etc. they did all the tests and my heart is strong but i failed my tilt test. There are several types of syncope. I have vaso vagal. My cousin has the more rare POTS. that causes syncope also. She said she failed her tilt several times but wasn't diagnosed with POTS until they did an EEG, laying, sitting, then standing. Ask questions when at the DR for sure. There's not too much info on POTS and a lot of Dr.
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